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Excess Patterns Signs Tongue Pulse Wind-Cold Invasion Fever & chills w/chills predominating, body ache, stuffy nose w/clear runny mucus, sneezing, scratchy throat, lack of sweat, possibly a headache Thin white coat Floating, possibly a little tight Wind-Heat Invasion Fever & chills w/fever predominating, sore throat, stuffy a/or runny nose w/yellow discharge, headache, slight sweating, no thirst Thin yellow coat or Thin white coat w/slightly red tip and edges Floating, rapid Damp-Phlegm Obstructing Chronic cough which comes in bouts, profuse white sputum that is easy to expectorate, fullness of the chest, asthma is possible, can be either a chronic or acute condition Thick sticky white coat Slippery or Weak, floating & fine Deficiency Patterns Signs Tongue Pulse Phlegm-Heat Obstructing Barking cough, SOB, asthma, chest oppression, yellow/green mucus Red, thick sticky yellow coat Slippery, rapid, full LU Qi Deficiency Fatigue, SOB, weak voice, spontaneous daytime sweating, catch colds easily/frequently, pale complexion Pale, slightly swollen Empty LU Yin Deficiency Dry cough possibly w/blood tinged sputum, dry throat a/or mouth, hoarseness, night sweats, mallor flush Red, no coat, probably peeled, horizontal cracks in the LU area possible Thin, rapid or Floating, empty LU Dryness Not as severe as LU Yin Deficiency, dry cough, dry throat, hoarseness, dry skin Dry Empty, possibly Floating, empty Lu 1 Zhong Fu Middle Palace Location: Lateral to the sternum, at the lateral side of the 1st intercostal space, 6 cun lateral to REN Lu 2 Yun Men Cloud Gate Location: In the depression below the acromial extremity of the clavicle, 6 cun lateral to REN Lu 10 Yu Ji Fish Border Location: On the radial aspect of the midpoint of the 1st metacarpal bone, on the junction of the yin and yang skin Lu 11 Shao Shang Lesser Shang Location: On the radial side of the thumb, about 0.1 cun posterior to the corner of the nail Large Intestine LI 1 Shang Yang Jing-well and Metal Location: On the radial side of the index finger, about 0.1 cun posterior to the corner of the nail LI 4 He Gu Joining Valley Location: In the middle of the 2nd metacarpal bone on the radial side, in the adductor pollicis muscle LI 5 Yang Xi Yang Stream Location: In the “snuffbox” On the radial side of the wrist. When the thumb is tilted upward, it is in the depression between the tendons of extensor pollicis longus and brevis LI 10 Shou San Li Arm Three Miles Location: On the line joining LI 5 and LI 11, 3 cun distal to LI 11 LI 11 Qu Chi Pool at the Crook Location: When the elbow is flexed, the point is in the depression at the lateral end of the transverse cubital crease, midway between LU 5 and the lateral epicondyle of the humerus. LI 20 Ying Xiang Welcome Fragrance Location: In the nasolabial groove, at the level of the midpoint of the lateral border of the ala nasi Excess Patterns Signs Tongue Pulse ST Fire Constant hunger, painful, swollen &/or bleeding gums, regurgitation &/or vomiting likely after eating, burning sensation in the epigastrium, nausea, constipation Red, dry w/thick yellow coat Full, deep, rapid ST Excess Cold Usually an acute situation, acute pain in the epigastrium which feels Thick white better with warm foods/drinks coat a/or the application of heat and worse with cold Pattern usually appears with ST a/or other organ patterns and is ST Rebellious related to the ST not descending Qi the Qi, regurgitation, belching, hiccups, vomiting ST Food Retention Vomiting, regurgiation, belching, epigastric pain &/or distention, lack of appetite, insomnia Normal Deep, slow, tight Tight Thick yellow or Full, white coat slippery Deficiency Signs Patterns ST Yin Deficiency Epigastric pain, poor appetite, heat in the 5 palms, constipation, dry mouth a/or throat, thirst w/no desire to drink Tongue Pulse Red or peeled Floating, in the ST/SP empty area *** St 1 Cheng Qi Container of Tears Location: Directly below the pupil, Between the eyeball and infraorbital ridge *** St 8 Tou Wei Head’s Binding Location: 0.5 cun within the anterior hairline at the corner of the forehead *** St 25 Tian Shu Heaven’s Pivot Location: 2 cun lateral to the center of the umbilicus St 35 Du Bi Calf’s Nose Location: When the knee is flexed, the point is at the lower border of the patella, in the depression lateral to the patellar ligament *** St 36 Zu San Li Leg Three Miles Location: 3 cun below ST 35, One finger width from the anterior crest of the tibia *** St 40 Feng Long Abundant Bulge BEST POINT IN BODY FOR PHLEGM Location: 8 cun superior to the external malleolus, about one finger width lateral to ST 38 (2 finger widths lateral to tibia crest) *** St 45 Li Dui Strict Exchange Location: On the lateral side of the 2nd toe, 0.1 cun posterior to the corner of the nail Excess Signs Tongue Pulse Dampcold Poor appetite, chest &/or epigastric distention, sensation of cold in the abdomen which feels better with the application of heat, heavy head &/or body, lack of thirst, loose stools Dampheat Epigastric &/or abdominal oppression, lack of appetite, heavy body, thirst with little/no desire to Yellow drink, abdominal pain, loose stools sticky with strong odor possibly coat w/burning anus, nausea, vomiting, fever, headache Thick sticky white coat Slippery slow Slippery rapid Deficiency Patterns Signs Tongue SP Qi Deficiency Poor appetite, distention after eating, weakness of the four limbs, fatigue, loose stools Pale, swollen Empty with teethmarks SP Qi Sinking SP Qi Deficiency (above) plus prolapses of the stomach, uterus, anus Pale &/or vagina along with frequency &/or urgency of urination Empty or weak SP Qi not controlling Blood SP Qi Deficiency (above) plus hemorrhages, vaginal bleeding, bleeding under the skin Pale Fine SP Yang Deficiency Further progression of SP Qi Deficiency (above) with more cold signs, cold limbs, chilliness, edema (more in the middle warmer) Pale, wet, swollen Deep with teethmarks Pulse Sp 1 Yin Bai Hidden White Location: On the medial side of the great toe, 0.1 cun posterior to the corner of the nail Sp 6 San Yin Jiao Three Yin Intersection Location: 3 cun directly above the tip of the medial malleolus, on the posterior border of the medial aspect of the tibia Sp 9 Yin Ling Quan Yin Mound Spring Location: On the lower border of the medial condyle of the tibia, in the depression on the medial border of the tibia Sp 10 Xue Hai Sea of Blood Location: When the knee is flexed, the point is 2 cun superior to the mediosuperior border of the patella, on the bulge of the medial portion of quadriceps femoris Sp 21 Da Bao Great Enveloping Location: On the mid-axillary line, 6 cun below the axilla, midway between the axilla and the free end of the 11th rib Deficiency Patterns Signs Tongue Pulse HT Blood Deficiency Palpitations, dizziness, insomnia, dream disturbed sleep, anxiety, easily startled, poor memory, poor concentration, dull pale complexion, lips are likely to be pale Pale, possibly thin, maybe dry Thin or choppy HT Qi Deficiency Palpitations on exertion, spontaneous sweating, fatigue Pale, possibly a midline crack down to the tip Empty HT Yin Deficiency Similar to Blood Deficiency but with more anxiety and restlessness, palpitations, insomnia, dream disturbed sleep, easily startled, poor memory, fidgeting, mallor flush, night sweats, heat in the 5 palms, dry mouth Red or peeled w/no coat Floating, empty or Thin, fast HT Yang Deficiency Similar to HT Qi Deficiency (palpitations on exertion, fatigue, spontaneous sweating) but with cold limbs, feeling of cold, bright pale face Pale, wet & swollen Deep, weak, possibly knotted HT Yang Collapse Serious, patient should go to hospital, severe palpitations, weak and shallow Pale or purple breathing, cyanosis of the lips Hidden, minute or very knotted Excess Patterns Signs Tongue Pulse HT Fire Palpitations, thirst, tongue/mouth ulcers, restlessness, red complexion, bitter taste in morning Red w/yellow coat, red point on tip Full, rapid, overflowing (esp. in HT) Phlegm Fire Mental confusion, lack of mental clarity, palpitations, restlessness, incoherent speech, rash behavior, tendency towards hitting a/or scolding people, uncontrollable laughter &/or crying, mani depression Red w/yellow greasy coat, possibly red points on tip a/or deep midline crack running to the tip Full, slippery Phlegm Misting the Mind (Heart) Phlegm signs w/o heat, mental confusion, unconsciousness, rattling sound in the throat, asphasia, vomiting Thick greasy coat Slippery HT Blood Stagnation Angina, chest oppression, HT pain which may radiate down to the left arm or shoulder (emotionally or physiologically related), palpitations, cyanosis of the lips (in more severe cases) Purplish Knotted He 1 Ji Quan Summit Spring Location: When the arm is abducted, in the center of the axilla, on the medial side of the axillary artery He 9 Shao Chong Lesser Rushing Location: On the radial side of the little finger, about 0.1 cun posterior to the corner of the nail SI 1 Shao Ze Lesser Marsh Location: 0.1 cun posterior to the corner of the nail on the ulnar side of the little finger SI 3 Hou Xi Back Stream Location: With a loose fist made, ulnar end of distal palmar crease proximal to the 5th metacarpal phalangeal joint at the junction of the red and white skin Great for any pain or blockage on SI or GV, neck pain, back pain, occipital headache SI 9 Jian Zhen True Shoulder Location: With arm abducted, 1 cun above the posterior end of the axillary fold, posterior and inferior to the shoulder joint Great for Shoulder Pain SI 10 Nao Shu Upper Arm Shu Location: With arm abducted, directly above SI 9 in a depression inferior to scapular spine Great for Shoulder Pain SI 19 Ting Gong Listening Palace Location: Anterior to the tragus and posterior to the condyloid process of the mandible in a depression formed when mouth is opened UB 1 Jing Ming Bright Eyes Location: 0.1 superior to the inner canthus BI 10 Tian Zhu Celestial Pillar Location: 1.3 cun lateral to GV 15 or .5 cun above the posterior hairline and 1.3 cun lateral to the midline on the lateral aspect of the trapezius muscle Use with lower UB pt. such as UB36, UB 57 or UB 60 to open the whole channel - for any back problems or stiff posterior neck or shoulders. (Sea of Qi) BI 13 Fei Shu Lung Shu 1.5 cun lateral to the depression inferior to the spinous process of T3 LU Shu BI 15 Xin Shu Heart Shu 1.5 cun lateral to the depression inferior to the spinous process of T5 Heart Shu BI 18 Gan Shu Liver Shu 1.5 cun lateral to the depression inferior to the spinous process of T9 Liver Shu BI 19 Dan Shu Gall Bladder Shu 1.5 cun lateral to the depression inferior to the spinous process of T10 GB Shu BI 20 Pi Shu Spleen Shu Location: 1.5 cun lateral to the depression inferior to the spinous process of T11 Spleen Shu BI 23 Shen Shu Kidney Shu Location: 1.5 cun lateral to the depression inferior to the spinous process of L2 Kidney Shu BI 25 Da Chang Shu Large Intestine Shu Location: 1.5 cun lateral to the depression inferior to the spinous process of L4 Large Instestine Shu BI 28 Pang Guang Shu Bladder Shu Location: 1.5 cun lateral to midline. Level with 2nd Posterior Sacral Foramun UB Shu BI 32 Ci Liao Second Crevice Location: In the 2nd Posterior Sacral Foramen Low Back Pain, Menstrual Problems BI 36 Cheng Fu Hold and Support Location: On the posterior side of the thigh at the midpoint of the inferior gluteal crease LBP BI 42 Po Hu Door of the Corporeal Soul Location: 3 cun lateral to the depression inferior to the spinous process of T3 BI 52 Zhi Shi Residence of the Will Location: 3 cun lateral to the depression inferior to the spinous process of L2 BL 53 Bao Huang Bladder’s Vitals Location: 3 cun lateral to the medial sacral crest at the level of the 2nd Posterior Sacral Foramen BL 57 Cheng Shan Support the Mountain Location: 8 cun below UB 40 in a pointed depression between the heads of the gastrocnemius BL 60 Kun Lun Kunlun Mountains Location: In a depression between the tip of the external malleolus and the achilles tendon. BL 67 Zhi Yin Reaching Yin Location: .1 cun posterior to the corner of the nail on the lateral side of the little toe. Kidney Meridian (Shen) Deficiency Patterns Signs Tongue Pulse SOB, asthma, cold limbs, weak back a/or knees, copious clear urination, incontinence, nighttime urination Pale Deep, Weak, Possibly Tight KD Qi Xu KD Yin Xu Dizziness, tinnitus, vertigo, sore back, constipation, may also have empty heat signs, mallor flush, night sweats, heat in the 5 palms, insomnia, dry throat Red w/no coat, may have horizontal cracks, red tip w/empty fire Floating empty, Rapid KD Yang Xu Sore a/or weak back/knees, sensation of cold, aversion to cold, weak lower limbs, lassitude, clear copious urine, poor appetite, looses stools, edema (which can be severe) Pale, swollen, wet possibly a white coat w/strong water signs Deep, Weak, Possibly slow KD Jing Xu In children poor physical a/or mental development - In adults weakening of the bones, teeth, back a/or knees, memory problems, lessening of sexual libido/ability Red, peeled Floating empty * Kidney 1 Yongquan Bubbling Spring Location: On sole, in depression with foot in plantar flexion, at the junction of the anterior 1/3 and posterior 2/3 of line connecting base of the 2nd and 3rd toes with the heel. * KI 3 Tai Xi Supreme Stream Location: In depression midway between the tip of the medial malleolus and the (posterior border of the) achilles tendon. Yuan Source Point * KI 6 Zhao Hai Shining Sea Location: In a depression below the tip of the medial malleolus Yin Qiao Master Point coupled with LU 7 (CV Master Point) * KI 25 Shen Cang Spirit Storehouse Location: In the 2nd Intercostal Space, 2 cun lateral to the Ren channel * KI 26 Yu Zhong Comfortable Chest Location: In the 1st Intercostal Space, 2 cun lateral to the Ren meridian * KI 27 Shu Fu Shu Mansion Location: In a depression on the lower border of the clavicle, 2 cun lateral to the Ren meridian P E R I Heart C Envelope A R D I U M P1 Tian Chi Heavenly Pool Location: 1 cun lateral to the nipple in the 4th ICS (intercostal space). 5 cun lateral to the ventral midline P6 Nei Guan Inner Pass Location: 2 cun above the wrist crease between the tendons of palmaris longus and flexor carpi radialis. Luo Connecting Point and confluent point of Yin Wei Mai P9 Zhong Chong Middle Rushing Location: In the tip of the middle finger San Jiao = Triple Heater = Triple Warmer SJ 1 Guan Chong Rushing Pass On the lateral side of the ring finger, about 0.1 cun posterior to the corner of the nail SJ 5 Wai Guan Outer Pass 2 cun proximal to the wrist crease, between the radius and the ulna SJ 15 Tian You On the superior angle of the scapula SJ 23 Si Zhu Kong Silken Bamboo Hollow In the depression at the lateral end of the eyebrow Gall Bladder Meridian and Acupoints GB 1 Tong Zi Liao Pupil Crevice 0.5 cun lateral to the outer canthus, in the depression on the lateral side of the orbit GB 14 Yang Bai Yang White 1 cun directly above the midpoint of the eyebrow GB 21 Jian Jing Shoulder Well Midway between Du 14 and the acromion, at the highest point of the shoulder GB 30 Huan Tiao Jumping Circle At the junction of the lateral 1/3 and the medial 2/3 of the distance between the greater trochanter and the hiatus of the sacrum GB 34 Yang Ling Quan Yang Mound Spring In the depression 1 cun anterior and inferior to the head of the fibula GB 44 Zu Qiao Yin Yin Portals of the Foot On the lateral side of the 4th toe, about 0.1 cun posterior to the corner of the nail Excess Patterns Signs Tongue Pulse LV Qi Stagnation Chest distention, hypochondriac pain a/or distentino, sighing, nausea, vomiting, poor appetite, diarrhea, depression, moodiness, plum pit qi, PMS, breast tenderness, painful a/or irregular menstruation Normal Wiry LV Blood Stagnation Abdominal pain, palpable masses in the abdomen, irregular a/or painful menstruation possible with dark clots, purple nails, purple lips Purple, possibly w/purple spots Wiry LV Cold Stagnation Pain in the genital area, general cold signs Pale, wet w/white coat Wiry, deep, slow LV Fire Headache, irritability, explosive anger, dizziness, tinnitus, bitter taste in the mouth, red face, red eys, dream-disturbed sleep, constipation Red, dry w/yellow coat, possibly redder along the LV/GB area Wiry, full, rapid Liver Wind Rising Can come from LV Blood Deficiency, LV Yang Rising or from Internal heat generating wind (discussed here), muscle spasms, convulsions, high fever, fairly serious condition Red, stiff w/thick yellow coat Wiry, rapid, full LV Yang Storke, asphasia, dizziness, twitching Red, peeled possibly deviated Floating, empty or Wiry, fine, rapid LV/GB Damp Heat Chest a/or hypochondriac pain/distention, jaundice, fever, bitter taste in the mouth, poor appetite, nausea, vomiting, swelling a/or itching of the genitals Red w/yellow sticky coat Slippery, wiry, rapid Deficiency Patterns Signs Tongue Pulse LV Blood Deficiency Numbness in the extremities, tics, tremors, dizziness, blurred vision, floaters, insomnia, dry skin/hair, scanty or lack of menstruation Pale, thin, dry Thin, choppy * Lv 1 Da Dun Big Mound Location: lateral side of the dorsum on the terminal phalanx of the great toe, between the lateral corner of the nail and the interphalangeal joint * Lv 3 Tai Chong Great Rushing Location: On the dorsum, of the foot in the depression distal to the junction of the 1st and 2nd metatarsal bones Lv 14 Qi Men Cycle Gate Location: Directly below the nipple, in the 6th intercostal space Conception Vessel REN = R = CV = CON = Ren 1 Hui Yin Meeting of Yin In women: between the anus and the posterior/labial commisure In men: between the anus and the root of the scrotum Ren 4 Guan Yuan Gate of Origin On the midline of the abdomen, 3 cun below the umbilicus Ren 6 Qi Hai Sea of Qi On the midline of the abdomen, 1.5 cun below the umbilicus Ren 24 Cheng Jiang Container of Fluids In the depression at the center of the mentolabial groove Governing Vessel DU = GOV Du 1 Chang Qiang Long Strong Midway between the tip of the coccyx and anus DU 2 In the hiatus of the sacrum Du 16 Feng Fu Palace of Wind 1 cun directly above the midpoint os the posterior hairline, in the depression below the spinous process of the 1st cervical vertebrae Du 28 Yin Jiao Gum Intersection At the junction of the gum and the frenulum of the upper lip Ex-HN 3 Yin Tang Hall of Impression